|
Fludarabine 50 mg intravenous solution
|
$327.22 |
$327.22 |
$327.22 |
$493.35
|
|
Fluidotherapy charges pt
|
$240.35 |
$240.35 |
$240.35 |
$101.40
|
|
Fluorescent antibody titer dna
|
$436.24 |
$436.24 |
$436.24 |
$123.65
|
|
Fluoroestradiol f 18
|
$1,597.90 |
$1,597.90 |
$1,597.90 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$208.99 |
$208.99 |
$208.99 |
$495.00
|
|
Fluoroguide needle placement
|
$279.38 |
$279.38 |
$279.38 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$2,092.94 |
$2,092.94 |
$2,092.94 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$167.76 |
$167.76 |
$167.76 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$54.76 |
$54.76 |
$54.76 |
$72.52
|
|
Fmri brain by tech
|
$1,898.57 |
$1,898.57 |
$1,898.57 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$3,764.15 |
$3,764.15 |
$3,764.15 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$941.58 |
$941.58 |
$941.58 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$3,552.92 |
$3,552.92 |
$3,552.92 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$888.61 |
$888.61 |
$888.61 |
$766.70
|
|
Foam drg >16<=48 sq in w/bdr
|
$5.04 |
$5.04 |
$5.04 |
$58.10
|
|
Foam drg >16<=48 sq in without b
|
$15.29 |
$15.29 |
$15.29 |
$39.00
|
|
Foam drg <=16 sq in w/border
|
$5.10 |
$5.10 |
$5.10 |
$16.25
|
|
Foam drg > 48 sq in without brdr
|
$51.02 |
$51.02 |
$51.02 |
$33.49
|
|
Folic acid
|
$34.61 |
$34.61 |
$34.61 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$26.34 |
$26.34 |
$26.34 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,924.23 |
$1,924.23 |
$1,924.23 |
$2,511.73
|
|
Fondaparinux sodium
|
$222.99 |
$222.99 |
$222.99 |
$186.20
|
|
Foot arch support remov prem
|
$164.98 |
$164.98 |
$164.98 |
$141.41
|
|
Foot arch supp premold metat
|
$101.75 |
$101.75 |
$101.75 |
$79.82
|
|
Foot drp splt w/exp heel lg
|
$166.99 |
$166.99 |
$166.99 |
$143.14
|
|
Foot external keel sach foot
|
$470.57 |
$470.57 |
$470.57 |
$470.57
|
|
Foot insert plastazote or eq
|
$349.16 |
$349.16 |
$349.16 |
$349.16
|
|
Foot insert remov molded spe
|
$285.99 |
$285.99 |
$285.99 |
$285.99
|
|
Foot insert silicone gel eac
|
$376.66 |
$376.66 |
$376.66 |
$322.85
|
|
Foot longitudinal arch suppo
|
$376.66 |
$376.66 |
$376.66 |
$322.85
|
|
Foot longitud/metatarsal sup
|
$428.96 |
$428.96 |
$428.96 |
$221.20
|
|
Foot plas heel stabi pre ots
|
$109.93 |
$109.93 |
$109.93 |
$76.32
|
|
Foot plate molded stirrup at
|
$702.07 |
$702.07 |
$702.07 |
$620.64
|
|
Foot single axis ankle/foot
|
$501.87 |
$501.87 |
$501.87 |
$350.00
|
|
Foot X-ray
|
$208.99 |
$208.99 |
$208.99 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$208.99 |
$208.99 |
$208.99 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$1,733.70 |
$1,733.70 |
$1,733.70 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$1,307.10 |
$1,307.10 |
$1,307.10 |
$901.60
|
|
Forearm X-ray (both sides)
|
$208.99 |
$208.99 |
$208.99 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$663.48 |
$663.48 |
$663.48 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$71.48 |
$71.48 |
$71.48 |
$103.62
|
|
Fracture assessment via dxa
|
$151.09 |
$151.09 |
$151.09 |
$175.50
|
|
_fragile x methylation-sendout
|
$183.74 |
$183.74 |
$183.74 |
$183.74
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$306.10 |
$306.10 |
$306.10 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$306.10 |
$306.10 |
$306.10 |
$164.84
|
|
Frozen blood thaw
|
$642.99 |
$642.99 |
$642.99 |
$212.30
|
|
Frozen cell preparation
|
$30.69 |
$30.69 |
$30.69 |
$31.81
|
|
Fructosamine glycated protein
|
$30.07 |
$30.07 |
$30.07 |
$63.50
|
|
Ft arch suprt premold longit
|
$101.75 |
$101.75 |
$101.75 |
$94.69
|
|
Ft insert ucb berkeley shell
|
$660.30 |
$660.30 |
$660.30 |
$651.56
|
|
Ftl cgen abnor four anal
|
$189.17 |
$189.17 |
$189.17 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$81.82 |
$81.82 |
$81.82 |
$109.00
|
|
Ft prosth multiaxial ankl/ft
|
$655.82 |
$655.82 |
$655.82 |
$439.60
|
|
Full sole/heel wedge btween
|
$118.22 |
$118.22 |
$118.22 |
$101.33
|
|
Full Spine X-ray (Scoliosis Survey)
|
$253.06 |
$253.06 |
$253.06 |
$355.00
|
|
Furnsh initial orthosis only
|
$3,761.46 |
$3,761.46 |
$3,761.46 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$36.06 |
$36.06 |
$36.06 |
$19.53
|
|
G6pc gene
|
$173.49 |
$173.49 |
$173.49 |
$138.40
|
|
Ga-67 gallium 0.1 mci
|
$93.41 |
$93.41 |
$93.41 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$135.74 |
$135.74 |
$135.74 |
$140.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.67 |
$0.67 |
$0.67 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$5.94 |
$5.94 |
$5.94 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.28 |
$0.28 |
$0.28 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$29.68 |
$29.68 |
$29.68 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$18.70 |
$18.70 |
$18.70 |
$100.00
|
|
Galactose transferase test
|
$16.69 |
$16.69 |
$16.69 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,811.66 |
$1,811.66 |
$1,811.66 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,070.54 |
$2,070.54 |
$2,070.54 |
$1,615.00
|
|
Gallium ga-68 psma-11 ucsf
|
$2,063.66 |
$2,063.66 |
$2,063.66 |
$1,344.20
|
|
Gallium illuccix 1 millicure
|
$2,063.66 |
$2,063.66 |
$2,063.66 |
$1,696.55
|
|
Gammaglobulin iga
|
$205.13 |
$205.13 |
$205.13 |
$69.60
|
|
Gammaglobulin ige
|
$22.51 |
$22.51 |
$22.51 |
$83.85
|
|
Gamma glutamyltransferase
|
$26.71 |
$26.71 |
$26.71 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$253.88 |
$253.88 |
$253.88 |
$197.40
|
|
Gastric emptying imag study
|
$3,053.90 |
$3,053.90 |
$3,053.90 |
$1,364.00
|
|
Gastric motility studies
|
$755.27 |
$755.27 |
$755.27 |
$972.00
|
|
Gastric mucosa imaging
|
$995.01 |
$995.01 |
$995.01 |
$565.00
|
|
Gastroesophageal reflux study
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,031.60
|
|
Gated heart multiple
|
$968.69 |
$968.69 |
$968.69 |
$1,405.04
|
|
Gba gene
|
$173.49 |
$173.49 |
$173.49 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$208.92 |
$208.92 |
$208.92 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$16,191.29 |
$16,191.29 |
$16,191.29 |
$19,305.62
|
|
General health panel
|
$86.86 |
$86.86 |
$86.86 |
$262.44
|
|
Generator barostim neo2 2014
|
$70,461.44 |
$70,461.44 |
$70,461.44 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$36,771.84 |
$36,771.84 |
$36,771.84 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$64,189.44 |
$64,189.44 |
$64,189.44 |
$66,636.36
|
|
Gen, neuro, clo loop, rechg
|
$48,599.04 |
$48,599.04 |
$48,599.04 |
$38,632.78
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$49.55 |
$49.55 |
$49.55 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$71.23 |
$71.23 |
$71.23 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$777.11 |
$777.11 |
$777.11 |
$1,514.00
|
|
Ghs abscess postoperative iandd complex
|
$896.00 |
$896.00 |
$896.00 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$88.93 |
$88.93 |
$88.93 |
$100.30
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,004.25 |
$1,004.25 |
$1,004.25 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$969.53 |
$969.53 |
$969.53 |
$2,519.49
|
|
Ghs chemo >8 hrs
|
$261.13 |
$261.13 |
$261.13 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$156.41 |
$156.41 |
$156.41 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$108.19 |
$108.19 |
$108.19 |
$133.70
|
|
Ghs community re-entry 15 minutes
|
$81.48 |
$81.48 |
$81.48 |
$89.28
|
|
Ghs diphtheria toxoid ab igg
|
$54.43 |
$54.43 |
$54.43 |
$55.29
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$922.99 |
$922.99 |
$922.99 |
$1,429.20
|
